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Federal forms, ICRs, and supporting documents

Information Collection Request

CERTIFICATION OF UI CONTINGENCY ENTITLEMENTS FOR THE QUARTER

ICR 198312-1205-004 · OMB 1205-0174 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
120976 CERTIFICATION OF UI CONTINGENCY ENTITLEMENTS FOR THE QUARTER Form Migrated
ICR Details
1205-0174 198312-1205-004
Historical Active 198110-1205-014
DOL/ETA
CERTIFICATION OF UI CONTINGENCY ENTITLEMENTS FOR THE QUARTER
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/27/1983
Retrieve Notice of Action (NOA) 12/12/1983
  Inventory as of this Action Requested Previously Approved
10/31/1986 10/31/1986
212 0 0
848 0 0
0 0 0
USED TO CERTIFY STATES ACTUAL CONTINGENCY STAFFYEARS AND DOLLAR ENTITLEMENTS FOR PROCESSING UI WORKLOAD ABOVE THE BASE.
None
None
No
1
IC Title Form No. Form Name
CERTIFICATION OF UI CONTINGENCY ENTITLEMENTS FOR THE QUARTER ETA 2104
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 212 0 0 0 212 0
Annual Time Burden (Hours) 848 0 0 0 848 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/12/1983